which of the following statements to the clients family would be appropriate when preparing to provide postmortem care to the client

NCLEX-PN

Nclex Exam Cram Practice Questions

1. Which of the following statements to the client's family would be appropriate when preparing to provide postmortem care to the client?

A. "You will not be allowed to see your family member after the postmortem care is performed."?
B. "I am not able to assist you, but we can call pastoral care if you need any comfort."?
C. "Unfortunately, we are not allowed to incorporate any cultural practices in my preparations."?
D. "I will be ensuring that your family member is properly identified before they are transported."?

Correct answer: D

Rationale: The correct statement when preparing to provide postmortem care to the client's family is to assure them that the family member will be properly identified before transportation. This is crucial in ensuring the correct individual is being handled respectfully. Choices A, B, and C are incorrect as they do not address the essential aspect of ensuring the proper identification of the deceased before transportation. It is important to allow the family to see their loved one after postmortem care and, if possible, incorporate any cultural practices. Providing comfort and support to the family during this difficult time is also essential in delivering holistic care.

2. A nurse who works in a medical care unit is told that she must float to the intensive care unit because of a short-staffing problem on that unit. The nurse reports to the unit and is assigned to three clients. The nurse is angry with the assignment because she believes that the assignment is more difficult than the assignment delegated to other nurses on the unit and because the intensive care unit nurses are each assigned only one client. The nurse should most appropriately take which action?

A. Refuse to do the assignment
B. Tell the nurse manager to call the nursing supervisor
C. Return to the medical care unit and discuss the assignment with the nurse manager on that unit
D. Ask the nurse manager of the intensive care unit to discuss the assignment

Correct answer: D

Rationale: In this scenario, the nurse feeling that the assignment is more difficult than what other nurses received should approach the nurse manager of the intensive care unit to discuss the assignment. By doing so, the nurse can seek clarification on the rationale for the assignment or confirm if it is genuinely more challenging. Refusing the assignment is not appropriate as it could impact patient care. Returning to the medical care unit would be considered client abandonment and does not directly address the conflict at hand. Instructing the nurse manager to involve the nursing supervisor is an aggressive approach that does not directly resolve the issue.

3.

A. 440 ml
B. 480 ml
C. 220 ml
D. 660 ml

Correct answer: B

Rationale:

4. When are pressure ulcers most likely to occur?

A. when clients are left in one position in bed for extended periods of time.
B. when clients are underweight.
C. when clients are overweight.
D. only in underweight and overweight clients.

Correct answer: A

Rationale: Pressure ulcers usually occur over bony prominences and are caused by decreased circulation. The client who is left in one position in bed for extended periods of time is more prone to decreased circulation to an area of the body and to acquiring a pressure ulcer. Choices B and C are incorrect as pressure ulcers are not exclusive to underweight or overweight clients. The key factor is prolonged pressure on the skin, not the weight of the client. Therefore, the correct answer is that pressure ulcers are most likely to occur when clients are immobilized in one position for extended periods of time.